利多卡因在神志清醒患者吸痰中的应用  

Application of lidocaine in the sputum suction for sane patient

作　　者：卢月珍[1] 林艺珍[1] 高凤[1] 

机构地区：[1]广东医学院附属医院重症医学科,湛江524001

出　　处：《国际护理学杂志》2013年第12期2700-2702,共3页international journal of nursing

摘　　要：目的观察利多卡因在清醒患者吸痰中的应用。方法选取本院2009年6月至2010年6月需吸痰的清醒患者83例，随机分为观察组42例，对照组41例。观察组患者在吸引前沿气管内缓慢注入2％的利多卡因0．5—1ml，2—3min后行气道内吸引；对照组采用常规方法进行气道内吸引。结果两组患者咳嗽、疼痛、躁动、气管痉挛、低氧血症、心律异常、恶心等发生情况比较，差异有统计学意义（P〈0．01）；吸痰后出血发生情况比较，差异无统计学意义（P〉0．05）；两组患者吸痰过程中、吸痰后2min、吸痰后5min的血氧饱和度检测情况比较，差异有统计学意义（P〈0．01）。结论利多卡因能够减轻清醒患者吸痰中的机体反应，降低气管的敏感性，减轻患者痛苦，值得临床推广使用。Objective To observe the effect of lidocaine on the sputum suction for the sane patient. Methods In our hospital, 83 cases were selected from June 2006 to June 2010 and divided into observation group with 42 cases and control group with 41 cases. In the ob- servation group, 2% lidocaine 0. 5 ~ lml was injected along the patientsJtrachea; 2 ~ 3 rain later, the sputum suction was done. In the con- trol group, routine sputum suction was adopted. Results The patients in the two groups were compared with cough, pain, agitation, tracheo- spasm, hyoxemia, abnormal heart rhythms, nausea and so on, there were significant differences （P 〈 0. 01 ） ; there was no difference in hemorrhage after suctioning; there were significant difference in oxyhemoglobin saturation during suctioning, after suctioning 2 min and 5min. Conclusions Lidocaine can alleviate the body reaction of patients with sputum suctioning, relieve the sensitivity of the trachea and patients＇ pain. It is worthy spreading.

关 键 词：利多卡因 吸痰 神志清醒 

分 类 号：R47[医药卫生—护理学]